The laboring patient and her partner have arrived at the birthing unit. Which step of the admission process should be undertaken first?
1. The sterile vaginal exam
2. Welcoming the couple
3. Auscultation of the fetal heart rate
4. Checking for ruptured membranes
Correct Answer: 2
Rationale 1: The sterile vaginal exam should be performed after rapport has been established and maternal vital signs have been assessed.
Rationale 2: Establishing rapport will decrease anxiety of the couple and facilitate a more pleasant birth experience.
Rationale 3: Welcoming the couple is more important upon arrival.
Rationale 4: Although assessing for intact or ruptured membranes is a part of the admission assessment, welcoming the couple is more important upon arrival.
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